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Case Report
Volume 5, Issue 1

Inferior Myocardial Infarction with Extension to the Right Ventricle due to a Huge Clot in the Ascending Aorta that Invaded the Right Coronary Artery: A Case Report

Hanna Bensussan1*, R. Auger2, T. Genet1, A. Bernard3 and D. Angoulvant3

1CHRU de Tours, Department of Cardiology, Tours, France
2CHRU de Tours, Department of Radiology, Tours, France
3University of Tours, EA4245 Transplantation, Immunity and Inflammation, Department of Cardiology, University of Tours, Tours University Hospital, Tours, France

*Corresponding author: Hanna Bensussan, CHRU de Tours, Department of Cardiology, Tours, France. E-mail: h.bensussan@chu-tours.fr

Received: December 20, 2024; Accepted: January 06, 2025; Published: January 15, 2025

Citation: Bensussan H, Auger R, Genet T, et al. Inferior Myocardial Infarction with Extension to the Right Ventricle due to a Huge Clot in the Ascending Aorta that Invaded the Right Coronary Artery: A Case Report. Case Rep Clin Cardiol J. 2025; 5(1): 148.

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Inferior Myocardial Infarction with Extension to the Right Ventricle due to a Huge Clot in the Ascending Aorta that Invaded the Right Coronary Artery: A Case Report
Abstract

Our case report concerns a 52-year-old male patient who was admitted to our cardiology emergency department because he had been experiencing intermittent back pain between the shoulder blades radiating into both arms for 48 hours. He also complained of fainting, nausea and vomiting. The risk factor for cardiovascular disease was hypertension (treated with ENALAPRIL and LERCANIDIPINE). He was of normal weight (BMI 24 kg/m2) and had never smoked. He had a history of paroxysmal atrial fibrillation without anticoagulation (CHA2DS2-Vasc score at 1 point) and angioedema due to aspirin. On arrival, the patient had stable hemodynamics (blood pressure 150/100 mmHg) and no clinical signs of heart failure (SpO2 99%). He was no longer in pain. The ECG showed an elevated ST segment in the inferior and lateral leads, associated with a Q wave. The elevated ST segment extended to the right leads (Figure 1).

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